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Ask the Experts about Oral Health and HIV

 

oral thrush
Jun 21, 2001

what does it look like and the syptoms

Response from Dr. Reznik

There are two general types of intraoral candidiasis (thrush) that we see. The first is Erythematous candidiasis, which presents as a red, flat, subtle lesion either on the dorsal surface of the tongue and/or the hard and soft palates (roof of the mouth). Erythematous candidiasis does tend to be symptomatic in that people will complain of burning or soreness, especially when eating salty or spicy foods or drinking acidic beverages such as orange juice. Pictures of Erythematous candidiasis are available within the HIVdent Picture Gallery. A few examples are found at these URLs: http://www.hivdent.org/slides/atrophic_candidiasis_tongue2.htm http://www.hivdent.org/slides/atrophic_candidiasis_mouth.htm

Pseudomembranous candidiasis, which is commonly referred to as thrush, presents as white plaques which can be removed sometimes leaving a red or bleeding surface. Pseudomembranous candidiasis can appear anywhere within the oral cavity. Mild cases of pseudomembranous candidiasis tend to not be symptomatic. Examples of this form of thrush can be found at the following URLs: http://www.hivdent.org/slides/pseudomembranous_candidiasis.htm http://www.hivdent.org/slides/pseudomembranous_candidiasis_15.htm

DR



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